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Surgery to Move Widely Spaced Eye Sockets Closer

South Dakota rates for HCPCS 21263

Reconstructive surgery for a person whose eye sockets sit abnormally far apart, usually because of a difference in the way the skull and face formed before birth. The bone around each eye socket is cut free as a block, moved toward the midline, and secured in its corrected position.

Rates data updated October 2026.

How much does Surgery to Move Widely Spaced Eye Sockets Closer cost?

$4,365

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $3,020 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,365$3,388 to $5,248
FacilityA hospital or hospital-owned outpatient department$3,020$2,818 to $3,311

How much rates vary

Facilitymedian $3,020 · 10th to 90th $2,692 to $4,365Professionalmedian $4,365 · 10th to 90th $2,188 to $6,310
$2K$5K$10K$20Kfacility $3,020professional $4,365

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,981.07
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$5,128.61
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$3,019.95
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$5,248.07
Typical High
$24,547.09
Midlands
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Midlands
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,897.79
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,365.16
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,548.13
Typical High
$4,365.16
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$4,073.80
Typical High
$6,309.57
Wellmark
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$5,128.61

Where South Dakota sits

The same service costs 21.4 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 6th of 51

$4,365

AK $9,120TX $427

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.